Buerger's disease

January 18, 2012

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Buerger's disease Or as it is called an official name - thromboangiitis obliterans It is an inflammatory disease of the small and medium supplying the vessels. With the progression of circulatory system diseases Lumen of the arteries and veins close thrombi That subsequently leads to inflammation. I must say that not only the affected vessels and the surrounding tissues and, as the process is disrupted circulation and delivery of nutrients. Because of impaired circulation complications arise Buerger's disease. Most often this disease affects both upper and lower limbs, which related to the removal of vessels from the central line and a weak flow of blood in them.

The main cause of Buerger's disease is smoking . It has long been proven that nicotine is one of the main thrombogenic substances and its use in smoking only increases the chance thrombosis . According to statistics, it is the men and women who smoke get sick more often thrombangiitis than those who do not smoke. Also plays a significant role and hereditary factors. The epidemiology of the disease has not been studied, it is known only that the sick are mainly middle-aged people who smoke, more common in males.

Symptoms of Buerger's disease

Characteristic symptoms unique to this disease is not present. Diagnosis is made when indirect signs indicating the possible presence of disease. Symptoms of Buerger's disease develop gradually. At the beginning of the disease may experience tiredness in the limbs, feeling cold and frequent tingling in the fingers. This so-called ischemic symptoms .

Then there is pain when walking, does not weaken in the moments of rest, intermittent cramping fingers and cyanotic color of swelling of the limbs. When running sores diseases manifest themselves on the surface of the skin, it has a high probability of later development gangrene .

Diagnosis of Buerger's disease

Diagnosing Buerger's disease is carried out by visual determination, as well as through Angiography . If the patient is heavy smokers, had been limping when walking, we can think about developing thromboangiitis obliterans.

The most common diagnosis of Buerger's disease is exclusive, that is, if there are facts proving that the disease can not be obliterating atherosclerosis . Distinctive features of these diseases is defeated Asymmetric vessels and more mature age of patients with atherosclerosis.

Buerger's disease are diagnosed in such cases: the patient is a smoker age less than 45 years, in the presence of all signs ischemia   in the extremities (pain, cramps, swelling, and cyanosis), observed sufficient circulatory problems. Determined in violation of circulation by ultrasound so-called Doppler effect . It held the complete exclusion of autoimmune diseases and disorders of blood coagulation, as well as sources embolism   endokardiograficheskogo methods and angiographic studies.

Differential diagnosis of Buerger's disease carried out in those cases where there are changes of vessels in healthy as well as in the patient limb.

Buerger's disease Complications

Complications of Buerger's disease is not very diverse, they can be easily enumerated. It thrombophlebitis of the extremities . arterial   and venous thrombosis And gangrene . The last complication is the worst, because there is only one method of its treatment - amputation of the damaged portion of gangrene, and in most cases a limb amputated to prevent the spread of contaminated blood in healthy blood vessels and tissues. A very important time to diagnose the disease and early treatment, thereby preventing the development of complications.

Treatment of Buerger's disease

Treatment of Buerger's disease begins, first of all, with complete smoking cessation. That's half the battle. Mandatory drug therapy vasodilator, ganglioblokiruyuschimi, anti-allergic and anti-thrombotic drugs ( stugeron . prodektina ). It is also desirable to treat the disease Buerger physiotherapeutic methods, e.g. diadynamic .

Buerger's disease prevention is the responsibility of a healthy lifestyle, complete smoking cessation, proper nutrition and adequate rest for sure. Sports only strengthen the cardiovascular system and do not give any chance to the development of disease.